NPI Directory

Laith Al Khraisat, MD — NPI 1407795040

Laith Al Khraisat, MD’s National Provider Identifier is 1407795040. NPPES classifies this as a Type 1 individual record and reports a practice location in Dalton, Georgia. The primary taxonomy is Student in an Organized Health Care Education/Training Program.

Key facts

NPI
1407795040
Entity type
Type 1 individual
NPPES status
Active in the August 10, 2026 snapshot
Practice location
1432 BROADRICK DR
 Dalton, Georgia 30720
Practice telephone
(706) 226-8990
Primary taxonomy
Student in an Organized Health Care Education/Training Program (390200000X)
Student, Health Care › Student in an Organized Health Care Education/Training Program
Enumeration date
March 27, 2026
NPPES last update
March 27, 2026
Source
CMS NPPES, NPPES Data Dissemination August 2026 V2

Questions answered by the NPPES record

What is the NPI for Laith Al Khraisat, MD?

The NPI listed for Laith Al Khraisat, MD in the NPPES snapshot is 1407795040. The number passes the NPI check-digit test and is recorded as active in that snapshot.

Is NPI 1407795040 an individual or organization record?

NPPES records NPI 1407795040 as an Entity Type 1 record, which CMS assigns to an individual health care provider.

Where is the reported practice location?

The primary practice location reported to NPPES is 1432 BROADRICK DR, Dalton, Georgia 30720.

What taxonomy codes are listed for this NPI?

One taxonomy code is listed: Student in an Organized Health Care Education/Training Program (390200000X), the primary taxonomy. Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.

When was the NPPES record last updated?

NPPES reports a last update date of March 27, 2026 and an enumeration date of March 27, 2026, as published in NPPES Data Dissemination August 2026 V2.

Source and data date

All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.

CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.

Directory pages

This profile is listed on the Dalton, Georgia NPI directory and the Georgia NPI directory.

Other published profiles in Dalton, GA

Up to ten other profiles this site publishes for Dalton, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 44 published profiles.

Independent service disclaimer

This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.